| Joey's Place Llc | |
|
1914 E Carney Rd Wasilla AK 99654-9007 | |
| (907) 229-2402 | |
| Not Available |
| Full Name | Joey's Place Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1914 E Carney Rd, Wasilla, Alaska |
| Authorized Official Name and Position | Karl Thomas Pfeiffer (DIRECTOR) |
| Authorized Official Contact | 9072292402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joey's Place Llc Po Box 872861 Wasilla AK 99687-2861 Ph: (907) 229-2402 | Joey's Place Llc 1914 E Carney Rd Wasilla AK 99654-9007 Ph: (907) 229-2402 |
| NPI Number | 1114786050 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114786050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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